Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Logan Phillip Grimes, MD

Individual provider Pediatric Infectious Diseases Physician · NPI 1568955664

Dr. Logan Phillip Grimes, MD is a Pediatric Infectious Diseases Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2018.

Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 Civic Center Blvd Rm Division
Philadelphia, PA 19104-4319
Phone: (215) 590-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence MD475081 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD475081 (PA)

Record details

NPI number1568955664
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2018
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 25, 2024

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